Pinky and the brain III.

What factors must the nurse consider when assessing readiness to learn when teaching health promotion practices for the visually and hearing impaired? (Select all that apply)

Habits Values Cultural beliefs

What does diabetes retinopathy result from? a. Capillaries in retina hemorrhage b. Long-term overdosing of insulin c. Retinal detachment d. Aging

a. Capillaries in retina hemorrhage

What does a tympanoplasty correct? a. Conductive hearing loss b. Sensorineural hearing loss c. Congenital hearing loss d. Functional hearing loss

a. Conductive hearing loss

When the patient in the emergency room complains of seeing flashing lights and a curtain down over his right eye, the nurse recognizes this as a symptom of which condition? a. Detached retina b. Macular degeneration c. Early sign of cataract d. Diabetic retinopathy

a. Detached retina

When the patient stares at the black dot on an Amsler grid, what should the nurse ask him to report? a. Any color visible on the grid b. Fading of the edges of the grid c. Any distortion of the grid d. Movement of the black dot

c. Any distortion of the grid

What should the nurse advise the 20-year-old to do who has been put on cefaclor (Ceclor) for a resistant otitis media? a. Store suspension at room temperature b. Discontinue drug when symptoms abate c. Avoid alcoholic beverages d. Take with meals only

c. Avoid alcoholic beverages

Four hours after a stapedectomy the patient complains that hearing has not improved at all. What knowledge would the nurse use to shape a response? a. A large percentage of stapedectomies are not successful b. It will take at least 10 days for the graft to heal c. Hearing will not return until edema subsides d. Hearing will improve after irrigation of the ear

c. Hearing will not return until edema subsides

What should a patient who has had a cataract repair avoid? a. The use of eye patches b. The use of sunglasses c. The lifting of heavy objects d. Reading for long periods of time

c. The lifting of heavy objects

The nurse counsels the 16-year-old boy that playing his music at high volume can result in impairment in hearing related to: a. damaged tympanic membrane. b. protective buildup of cerumen. c. damage of the fine hair cells in the organ of Corti. d. rupture of the oval window.

c. damage of the fine hair cells in the organ of Corti.

The nurse takes into consideration that the Weber test indicated a conductive hearing loss in a patient because the patient reported hearing the tone: a. equally in both ears b. as a shrill noise c. louder in his affected ear d. very faintly.

c. louder in his affected ear

What does the cataract treatment of phacoemulsification involve? a. "Drying" the cataract with hypertonic saline b. Removing the lens through the anterior capsule c. The insertion of a new lens d. Breaking the cataract with ultrasound

d. Breaking the cataract with ultrasound

What do miotic eyedrops do for a patient with glaucoma? a. Dilate the pupil and sharpen vision b. Lubricate and moisten the dry eye c. Irrigate the surface of the eye d. Constrict the pupil and open the canal of Schlemm

d. Constrict the pupil and open the canal of Schlemm

Conditions that may cause conductive hearing loss :

- Otitis media with effusion - Buildup of cerumen - foreign bodies

What would a nurse do when the patient arrives in the PACU after a left stapedectomy? (Select all that apply.)

- Turn the patient to his right side - Leave the bed flat - Medicate immediately on the complaint of nausea

What are the causes of cataract ?

- congenital from exposure to maternal rubella . - long term use of corticosteroids - diabetic mellitus - smoking

An elderly patient is being discharged after having a cataract removed during same-day surgery. The nurse's priority is to assess the patient for which ability?

A. Ability to administer eyedrops postprocedure

Before enucleation, the patient is taught that, aside from removing the eye, the surgeon will:

suture an implant to eye muscles to which the prosthesis can be attached.

What should the nurse do when assisting a blind person to walk in an unfamiliar hospital environment? (Select all that apply)

Encourage the patient to ask for verbal cues Place patient hand on nurse's shoulder or elbow Describe the surroundings

What should the nurse include in the plan of care following a tympanoplasty? a. Elevating head of bed with operative side facing upward b. Enforcing bed rest for 72 hours c. Frequent turning, coughing, and deep breathing d. Continuous irrigation of the ear canal with antibiotic solutions

a. Elevating head of bed with operative side facing upward HESI answer. d. Continuous irrigation of the ear canal with antibiotic solutions

Why is otitis media found more frequently in children 6 to 36 months? a. Eustachian tubes in children are shorter and straighter. b. Infection descends via the eustachian tube to the throat. c. Children's eustachian tubes are more vertical and longer. d. Otitis media is seen equally in both children and adults.

a. Eustachian tubes in children are shorter and straighter.

Which is a sign of acute angle closure glaucoma (AACG)? a. Large fixed pupil b. Nystagmus c. Bluish color in sclera d. Drooping eyelid

a. Large fixed pupil

What is a common mistake that hinders communication when communicating with the hearing impaired? a. Overaccentuating words b. Facing the patient when speaking c. Speaking in conversational tones d. Speaking into the ear with the hearing aid

a. Overaccentuating words

What should the nurse remind the hearing aid wearer to do when the nurse hears a whistling hearing aid? a. Reinsert the ear mold b. Change the battery c. Recharge the hearing aid d. Wash the ear mold with warm water

a. Reinsert the ear mold

The 62-year-old home health patient who is recovering from eye surgery complains of a feeling of "grittiness" in the eye and is having blurred vision. The eyes are reddened and have stringy mucus. What do these complaints indicate? a. Sjögren syndrome b. Early cataracts c. Macular degeneration d. Retinal detachment

a. Sjögren syndrome

The nurse is caring for a client newly diagnosed with glaucoma. The client is asymptomatic except for the increased intraocular pressure detected during a routine eye examination. When developing a plan of care for this client, which of the following goals should have the highest priority? a. Stress importance of compliance with glaucoma eyedrops. b. Assess for fall injuries. c. Consider home maintenance issues. d. Discuss risk factors.

a. Stress importance of compliance with glaucoma eyedrops.

Why would the nurse encourage a group of teenagers to protect their eyes with dark sunglasses while using a UV lamp? a. The lamp can cause cataracts. b. The lamp can cause presbycusis. c. The lamp can cause keratitis. d. The lamp can cause ectropion.

a. The lamp can cause cataracts.

The lens focuses the rays by changing its curvature in a process called

accommodation.

The client diagnosed with bilateral conjunctivitis is prescribed antibiotic ophthalmic ointment. Which interventions should the nurse implement when discussing the medication with the client?

apply a thin line from the inner to the outer canthus in The conjunctival sac.

When the newly blind male home health patient asks the nurse how he might get assistance, who might the nurse suggest he contact? a. American Red Cross b. American Foundation for the Blind for a list of agencies c. Local hospital social worker d. The public health department

b. American Foundation for the Blind for a list of agencies

A patient who had an enucleation of the right eye has been admitted PACU. What should the nurse include in the plan of care? a. Turn, cough, and deep breathe every 3 hours b. Apply a pressure dressing over the right eye socket c. Document dressing assessment every 2 hours d. Turn on the affected side

b. Apply a pressure dressing over the right eye socket

Which complaint made by a 64-year-old patient during a health interview would alert the nurse to the possibility of cataracts? a. Pain in the eyes b. Difficulty driving at night c. Loss of peripheral vision d. Dry eyes

b. Difficulty driving at night

What must a patient do following a left vitrectomy? a. Remain flat in bed for 48 hours b. Position self in a face-down position for 4 to 5 days c. Assume a side-lying position with the left side down for 3 days d. Keep head upright and cushioned with pillows for 24 hours

b. Position self in a face-down position for 4 to 5 days

What is the first indication of macular degeneration? a. The loss of peripheral vision b. The loss of central vision c. The loss of color discrimination d. Eye fatigue

b. The loss of central vision ( dark spots)

The nurse will assess for _____________ when the older adult home health patient complains that the entire right side of his head hurts and he cannot chew without pain. a. mumps b. external otitis c. otitis media d. labyrinthitis

b. external otitis

How should the nurse advise a patient who has severe vertigo from labyrinthitis? a. Lean against a wall and not head forward until vertigo lessens. b. Bend at the waist and take several deep breaths. c. Drink an iced drink slowly. d. Lie immobile and hold the head in one position until the vertigo lessens.

d. Lie immobile and hold the head in one position until the vertigo lessens.

When a foreign body becomes embedded in a client'seye, which nursing action should be taken first beforereferring the client for emergency treatment? a. Remove the object with forceps. b. Ask the person to blink rapidly. c. Instill antibiotic ointment. d. Loosely patch both eyes.

d. Loosely patch both eyes.

How would the nurse explain the purpose of photocoagulation to a diabetic patient with diabetic retinopathy? a. The procedure will destroy the retina, which is not getting enough blood supply. b. The procedure will reduce edema in the macula of the eye. c. The procedure will vaporize fatty deposits that appear in the retina. d. The procedure will destroy new blood vessels, seal leaking vessels, and help prevent retinal edema.

d. The procedure will destroy new blood vessels, seal leaking vessels, and help prevent retinal edema.

One of the housekeepers splashes a chemical in the eyes. What should be the first priority? a. Transport to a physician immediately b. Cover the eyes with a sterile gauze c. Irrigate with H2O for 5 minutes d.Irrigate with normal saline solution for 20 minutes

d.Irrigate with normal saline solution for 20 minutes

The nurse notices that the patient must hold the newspaper at arms length and squint to read. The most likely diagnosis will be:

hyperopia.

To help reduce the nausea and vomiting experienced by a patient with Mnires disease, the nurse would caution the patient to avoid:

moving the head or eyes suddenly.

Which instrument should the nurse obtain to measure intraocular pressure ?

tonometer note. The SNELLEN ACUITY chart is used to measure visual acuity. The OPHTHALMOSCOPE is used to view the fundus of the eye by viewing The pupil . A TONOMETER is used to measure the intraocular pressure . A PENLIGHT is used for external examination of the eye.